HomeMy WebLinkAboutBLD2003-00026 - BLD Permit / Conditions - 1/10/2003 co
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PERMIT NO.:
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATIO
426 W.Cedar/P.O.Box 186,Shelton,WA',98584
Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482- 269 Seattle 206 464-6968
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner A-'r1 a Contractor Name
Mailing Address 8'3y Mailing Address
City State ! -Zip Code JrTR 4- City State Zip Code
Phone( ) Other Ph.( ?) !-<r0 Ph.( Other Ph.(___)
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System-Name of
Sewer System
PARCEL INFORMATI - 12 digit T Parcel No. / / / Fire trict
Legal Description
Site Address(Please include street name,street number and city) f Zf F
Directions to site V, i -�,3 � a dl+ a ,( ' , -i"
a k ILA oy 'f "A.
Is your property within 200'of the following: Body of Water(Name) f r L1 Saltwater
Lake River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New Add t Alt Repair Other Use of Building
Location of Fixtures/Units 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpt mp
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outletq
Kitchen Sinks Wood/Gas/pellet Stove
Dishwasher Kitchen-Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee BaSE Fee
TOTAL PLUMBING TOTAL MECHAN CAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FI TURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS At ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. Theowner or agent on owner's be alf,represents that the
information provided is accurate and grants employees of Mason County access to the ove described property and sti uctures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am cu rently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am iware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first,obtaining shall be done in,�}}onformance therewith. No changesshall be made without
approval. first obtaining appproval.
X i Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount ue Receipt No.
......
f tEVIE1N {kPPROV�W [fENI�{3 .. ...:.....: GDNDIT1.0 COOS
Building Dep TX
Occ Grou Type Constr. t
Planning Department
Other
Other
FEE <<<«<«>><: <<> '«<<>> <> <><>>< >«<> >>>> >i > » ><» >< >< ><<<>;s<« <
.......................................................... ........................................................................................................... ......................
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES